NPIMap

Organization Active NPI

Smile & Shine,PLLC

  • General Practice Dentistry
  • Rio Grande City, TX
National Provider Identifier
1245504695
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24586 Issued in TX
Legal business name
SMILE & SHINE,PLLC
Practice address
5326 E US Highway 83
A3
Rio Grande City, TX 78582-9409
Phone
(956) 263-1222
Fax
(956) 263-1566
NPI assigned
Mar 2, 2012
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harjap Singh Nanva, DDSNPI 1700013281
Title
Member
Phone
(956) 263-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24586 TX Primary

Addresses

Primary practice location

5326 E US Highway 83
A3
Rio Grande City, TX 78582-9409

Mailing address

5326 E US Highway 83
A3
Rio Grande City, TX 78582-9409
Phone (956) 263-1222

Other identifiers 1

IdentifierTypeStateIssuer
2022196MedicaidTX

National Provider Directory

National Provider Directory

Locations

5326 E US Highway 83
#A3
Rio Grande City, TX 78582
Phone (956) 263-1222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1245504695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 E US HIGHWAY 83",
            "address_2": "A3",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829409",
            "telephone_number": "956-263-1222",
            "fax_number": "956-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 E US HIGHWAY 83",
            "address_2": "A3",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829409",
            "telephone_number": "956-263-1222",
            "fax_number": "956-263-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE & SHINE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "NANVA",
        "authorized_official_first_name": "HARJAP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-263-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.